Active NPI
Carol Cagle, MS PT
- Physical Therapist
- Warwick, RI
National Provider Identifier
1336216993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT00930
- Practice address
- 3445 Post Road
J Arthur Trudeau Memorial Center Attn Kim Ruelle HR
Warwick, RI 02886 - Phone
- (401) 739-2700
- Fax
- (401) 737-8907
- NPI assigned
- Nov 29, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT00930 | RI | Primary |
Addresses
Primary practice location
3445 Post Road
J Arthur Trudeau Memorial Center Attn Kim Ruelle HR
Warwick, RI 02886
Mailing address
3445 Post Road
J Arthur Trudeau Memorial Center Attn Kim Ruelle HR
Warwick, RI 02886-7147
Phone (401) 739-2700
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4224 0177 | Other | RI | NEIGHBORHOOD HEALTH |
| 411696 | Other | RI | BLUE CHIP |
| 6400187 | Other | RI | UNITED HEALTHCARE |
| 274333 | Other | RI | BCBS |
| KC02260 | Medicaid | RI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT00930 | RI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532390400000",
"number": "1336216993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3445 POST ROAD",
"address_2": "J ARTHUR TRUDEAU MEMORIAL CENTER ATTN KIM RUELLE HR",
"city": "WARWICK",
"state": "RI",
"postal_code": "028867147",
"telephone_number": "401-739-2700",
"fax_number": "401-737-8907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3445 POST ROAD",
"address_2": "J ARTHUR TRUDEAU MEMORIAL CENTER ATTN KIM RUELLE HR",
"city": "WARWICK",
"state": "RI",
"postal_code": "02886",
"telephone_number": "401-739-2700",
"fax_number": "401-737-8907"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAGLE",
"first_name": "CAROL",
"name_prefix": "Ms.",
"credential": "MS PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-29",
"last_updated": "2018-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "RI",
"license": "PT00930",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD HEALTH",
"identifier": "4224 0177",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHIP",
"identifier": "411696",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "6400187",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "274333",
"state": "RI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "KC02260",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Warwick, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.